Reciprocity? International Preceptors’ Perceptions of Global Health Elective Learners at African Sites
Autor: | Peter N. Kazembe, Jill Sanders, Teri L. Turner, Edith Q. Mohapi, Padma Swamy, Stephanie Marton, Gordon E. Schutze, Heather Haq, Chris A. Rees, Elizabeth M. Keating |
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Rok vydání: | 2019 |
Předmět: |
Male
Malawi Attitude of Health Personnel media_common.quotation_subject education MEDLINE International Educational Exchange Infectious and parasitic diseases RC109-216 Efficiency Organizational Global Health Pediatrics 03 medical and health sciences 0302 clinical medicine Perception Patient harm Global health Humans 030212 general & internal medicine Qualitative Research Reciprocity (cultural anthropology) Original Research media_common Medical education Teaching 030503 health policy & services Preceptor General Medicine Focus Groups Focus group Lesotho Preceptorship Health Resources Female Public aspects of medicine RA1-1270 0305 other medical science Psychology Qualitative research |
Zdroj: | Annals of Global Health Annals of Global Health, Vol 85, Iss 1 (2019) |
ISSN: | 2214-9996 |
DOI: | 10.5334/aogh.2342 |
Popis: | Background: Short-term global health electives (STGHEs) have become increasingly common, with evidence showing educational and clinical benefits for short-term learners (STLs). Despite increased recognition that STGHEs should be mutually beneficial for host sites and STLs, evidence demonstrating the impact on international host preceptors is lacking. Objectives: To understand international host preceptors’ perceptions regarding benefits and burdens of hosting STLs. Methods: Focus group discussions with a convenience sample of 10 of 18 eligible preceptors were conducted at pediatric STGHE sites in Malawi and Lesotho. Qualitative content analysis was performed to identify themes using a deductive-inductive approach. Findings: Common themes regarding benefits to preceptors included increased knowledge and resources for learning from STLs, broadened differential diagnoses, and the satisfaction of teaching. Regarding burdens, preceptors perceived that supervising STLs decreases efficiency. Preceptors identified the burden of having to intervene in instances that could lead to patient harm. Some preceptors perceived that STLs under-valued preceptors’ clinical decision-making in resource-limited contexts. Conclusions: Our findings emphasize the need for institutions to identify mutuality of benefits between STLs and host sites when developing STGHEs. Host preceptors identified robust pre-departure training for STLs, lengthened duration of STGHEs, and formal preceptor orientation as ways to enhance mutuality of benefits. |
Databáze: | OpenAIRE |
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